整合健康行为理论预测美国人接种 COVID-19 疫苗的意愿。

Integrating health behavior theories to predict American's intention to receive a COVID-19 vaccine.

机构信息

Department of Public Relations, College of Media and Communication, Texas Tech University, Lubbock, USA.

Department of Communication, University at Buffalo, Buffalo, USA.

出版信息

Patient Educ Couns. 2021 Aug;104(8):1878-1886. doi: 10.1016/j.pec.2021.02.031. Epub 2021 Feb 17.

Abstract

OBJECTIVE

Integrating constructs from three prominent health behavior theories including the extended parallel process model, the health belief model, and the theory of planned behavior, this study seeks to identify sociopsychological factors that influenced American's intention to receive a COVID-19 vaccine.

METHOD

An online survey was delivered to a U.S. sample (N = 934), assessing the influences of risk perception and fear associated with COVID-19, beliefs about and attitudes toward COVID-19 vaccines, self-efficacy, social and psychological contexts, and demographic characteristics on people's intention to get COVID-19 vaccines.

RESULTS

Most respondents intended to get vaccinated. However, they tended to underestimate their risks of contracting COVID-19. Disease exposure led to higher uptake intent via the mediation of fear. Safety concerns negatively influenced vaccination intention, while perceived community benefits were positively associated with vaccination intention. Positive attitudes toward vaccines and recent vaccine history were positively linked to vaccination intent.

CONCLUSION

This study attests the effectiveness of HBT constructs in predicting people's intention to receive a COVID-19 vaccine.

PRACTICE IMPLICATIONS

The results point to the importance of fostering confidence in vaccine safety and countering overoptimism of individual susceptibility to the disease in interventions promoting COVID-19 vaccines uptake.

摘要

目的

本研究整合了三个著名的健康行为理论的结构,包括扩展平行过程模型、健康信念模型和计划行为理论,旨在确定影响美国人接种 COVID-19 疫苗意愿的社会心理因素。

方法

一项在线调查在美国样本(N=934)中进行,评估了与 COVID-19 相关的风险感知和恐惧、对 COVID-19 疫苗的信念和态度、自我效能、社会和心理背景以及人口统计学特征对人们接种 COVID-19 疫苗意愿的影响。

结果

大多数受访者表示有接种疫苗的意愿。然而,他们往往低估了自己感染 COVID-19 的风险。通过恐惧的中介作用,疾病暴露导致更高的接种意愿。对安全性的担忧会对疫苗接种意愿产生负面影响,而感知到的社区利益与疫苗接种意愿呈正相关。对疫苗的积极态度和最近的疫苗接种史与接种意愿呈正相关。

结论

本研究证明了 HBT 结构在预测人们接种 COVID-19 疫苗意愿方面的有效性。

实践意义

研究结果表明,在促进 COVID-19 疫苗接种的干预措施中,培养对疫苗安全性的信心和克服对个人疾病易感性的过度乐观情绪非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5ab/7889032/38bb41fca458/gr1_lrg.jpg

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